Lead Care Manager

5 days ago

Diamond Bar, United States Angeles Del Sol ADHC Full time

Qualifications:

- Registered LVN, or Behavioral Health or Social Services paraprofessional with at least 2 years of case management or related experience in the field and Bachelor’s degree
- Applicants with Medical Assistant certification and at least five years of related case management experience will be considered
- Bilingual in English/Spanish (oral and written)
- Bilingual in English/Spanish (oral and written)
- Proficient knowledge of Microsoft Outlook, MS Word and Excel
- Able to travel and attend professional meetings, conferences, trainings, and clinic sites

**Responsibilities**:

- Under the direct supervision of the Enhanced Care Management Director, the Enhanced Care Management Lead Care Manager is responsible for coordinating and implementing organization-wide Enhanced Care Management
- Oversees and implements provision of the Enhanced Care Management (ECM) services; and identification and achievement of Care Plan goals and objectives with the member that meet their self-identified strengths and health care and psychosocial needs
- Engages eligible ECM members
- Offers services where the ECM member lives, seeks care, or finds most easily accessible and within health plan guidelines
- Connects with ECM member via phone or in-person to facilitate engagement, assessment, follow-up, and education/training visits in order to develop and address the Care Plan
- Works in conjunction with ECM member to identify Care Plan goals and objectives
- Connects ECM member to other ILOS / social services and supports he/she may need
- Accompanies ECM member to office visits, as needed and according to health plan guidelines
- Arranges transportation
- Responsible to convene care conference meetings
- Coordinates with ECM resource partners to obtain data/information to ensure accurate Care Plan updates
- Utilize Turbo CalAim and other electronic tracking systems to coordinate services and input data for reporting
- Attends required ECM trainings
- Facilitates internal ECM trainings/updates to Angeles Del Sol-ECM clinical and administrative staff members
- Collaborates with Angeles Del Sol -ECM team to ensure ECM templates are appropriate and effective at capturing needed data/information
- Reviews existing Angeles Del Sol -ECM protocols and polices to match ECM requirements
- Develops new ECM protocols, policies, and accompanying workflows
- Assists the required ECM reports and other internal reports
- Responsible for coordinating with those individuals and/or entities to ensure a seamless experience for the Member and non-duplication of services
- Advocate on behalf of Members with health care professionals
- Use motivational interviewing, trauma
- informed care, and harm-reduction approaches
- Coordinate with hospital staff on discharge plan
- Accompany Member to office visits, as needed and according to Angeles Del Sol-ECM and MCP guidelines
- Monitor treatment adherence (including medication)
- Provide health promotion and self
- management training
- Other duties as assigned

Pay: $20.00 - $30.00 per hour

**Benefits**:

- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance

Schedule:

- Monday to Friday

**Experience**:

- Healthcare: 1 year (preferred)

**Language**:

- Chinese (required)

Work Location: In person

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